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Healthcare Provider Relations Advocate - San Diego or Sacramento California - Telecommute

UnitedHealth Group

San Diego, CA
Job Code:
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Job Details

Healthcare Provider Relations Advocate - San Diego or Sacramento California - Telecommute(Job Number:713597)

You dream of a great career with a great company – where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.


This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.


Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.


The Provider Relations Advocate is responsible for the full range of Provider relations and Service interactions within UnitedHealth Group, including working on end-to-end Provider Claim and Call quality, ease-of-use of Physician portal and future service enhancements, and Training & Development of External Provider Education programs. Provider Relations Advocates design and implement programs to build and nurture positive relationships between the Health plan, Providers (physician, hospital, ancillary, etc.), and Practice managers. Responsibilities also include directing and implementing strategies relating to the development and management of a Provider network, identifying gaps in Network composition and services to assist the Network Contracting and Development staff in prioritizing contracting needs, and active involvement in identifying and remediating operational short-falls, and researching and remediating claims. This position supports a behavioral health provider network.

Primary Responsibilities:

  • Use pertinent data and facts to identify and solve a range of problems within area of expertise

  • Investigate non-standard requests and problems, with some assistance from others

  • Work exclusively within a specific knowledge area

  • Prioritize and organize own work to meet deadlines

  • Provide explanations and information to others on topics within area of expertise

  • Analyze and investigate

  • Provide explanations and interpretations within area of expertise

  • Regularly field-based; frequent on-site visits and meetings with Federally Qualified Health Centers, Community Mental Health Clinics, Physician groups or Hospital systems. Smaller practices, lower spending & less complexity








Job Provider Relations and Service
Primary Location US-CA-San Diego
Other Location US-CA-Davis, US-CA-Sacramento, US-CA-Carmichael, US-CA-Roseville
Organization Behavioral Sol - Public Sector
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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